In order to realize biomass potential as a major source of energy in the power generation and transport sectors, there is a need for high efficient and clean energy conversion devices, especially in the low-medium range suiting the disperseness of this fuel. Large installations, based on boiler coupled to steam turbine (or IGCC), are too complex at smaller scale, where biomass gasifiers coupled to ICEs have low electrical efficiency (15-30%) and generally not negligible emissions. This paper analyses new plants configurations consisted of Fast Internal Circulated Fluidized-Bed Gasifier, hot-gas conditioning and cleaning, high temperature fuel cells (MCFC), micro gas turbines, water gas shift reactor and PSA to improve flexibility and electric efficiency at medium scale. The power plant feasibility was analyzed by means of a steady state simulation realized through the process simulator Chemcad in which a detailed 2D Fortran model has been integrated for the MCFC. A comparison of the new plant working with external (MCFC-ER) and internal (MCFC-IR) reforming MCFC was carried out. The small amount of methane in the syngas obtained by atmospheric pressure biomass gasification is not enough to exploit internal reforming cooling in the MCFC. This issue has been solved by the use of pre-reformer working as methanizer upstream the MCFC. The results of the simulations shown that, when MCFC-IR is used, the parameters of the cell are better managed. The result is a more efficient use of fuel even if some energy has to be consumed in the methanizer. In the MCFC-IR and MCFC-ER configurations, the calculated cell efficiency is, respectively, 0.53 and 0.42; the electric power produced is, respectively, 236 and 216 kW(e), and the maximum temperature reached in the cell layer is, respectively, 670 degrees C and 700 degrees C. The MCFC-ER configuration uses a cathode flowrate for MCFC cooling that are 30% lower than MCFC-IR configuration. This reduces pressure drop in the MCFC, possible crossover effect and auxiliaries power consumption. The electrical efficiency for the MCFC-IR configuration reaches 38%. Copyright (C) 2011, Hydrogen Energy Publications, LLC. Published by Elsevier Ltd. All rights reserved.